A Personalized Service Model Of Health Management Of The Urban Aged

With the rapid increase in China’s socio-economic and the development inmedical technology, China’s aging population grows rapidly. Disease spectrum of theaged has changed, and there are more and more old people with chronic diseases anddisability in our country. Traditional biomedical model is useless for the preventionand treatment of chronic diseases, but bio-psycho-social medical model is graduallyon the rise. More and more people are concerned about health management. Thisstudy focuses on building a personalized service model of health management of theurban aged. This study will not only help promote development of health managementin our country, but also enhance the awareness of health care for the elderly, improvethe level of health of the elderly.[Purpose] This study is relying on a National Science and Technology SupportProgram. The author researched theoretical knowledge of health management,analyzed health needs and demand of China’s urban elderly, and learnt domestic andforeign existing health management model in this study. On the basis of the abovestudies, combined with modern information technology, the author built apersonalized service model of health management of the urban aged in order to meetthe health needs and demands of the urban elderly, reduce health care spending, andprovide the impetus for the development of health.[Methods] The information of theoretical research part comes mainly fromdomestic and foreign databases and websites. The author used literature study methodto read the basic theory of health management, analyze the literature about healthmanagement model, to research the development status and problems.Data originated from field investigation and questionnaire, and the official dataretrieval from network. Typical sampling method is employed to locate one country in Qujing of Yunnan province, within which sample communities are selected randomly,within which residents are selected randomly as surveyed old people, mainly aimed atunderstanding the needs and demands of health care services. Data of national urbanelderly health needs and the needs derived from the results of the Fourth NationalHealth Services Survey. Descriptive statistical method is the most important methodin research part.[Results] The chronic disease prevalence of urban elderly was53.2%, andhypertension, diabetes, ischemic heart disease, cerebrovascular disease, and chronicobstructive pulmonary disease (COPD) prevalence were the highest five of chronicnon-communicable diseases in the urban aged;21.9%of the urban elderly withmoderate vision difficulties,13.7%with speaking difficulties,25.2%with hearingdifficulties,13.1%with action difficulties. The two-week consultation rate ofhypertension, diabetes, ischemic heart disease and other chronic diseases were thehighest. The urban elderly hospitalization rate was17.2%, and the urban elderlyhospitalization rates of cerebrovascular disease, hypertension, and ischemic heartdisease were the highest.8.5%of the urban elderly suffered from mental anxiety ordepression;18.3%of the elderly still worked in the unit. More than60%the urbanaged wanted to get healthcare services, such as real-time monitoring of health status,health education and regular medical check-ups.Health management is originated from the health service problem of the UnitedStates. Finland, Germany, UK and other countries have launched different forms ofhealth management. Domestic scholars research health management model based ondifferent groups of people and disease.The principles of building a personalized service model of health management ofthe urban aged include adhere to government-led, meet health needs and demands,promote the construction of legal system and apply modern information technology.This model has three levels, management level, services level and execution level, aiming at providing personalized health management services for the urban aged,saving the health service resources and protecting the physical and mental health ofthe urban aged.[Conclusions] The number of the urban aged is developing rapidly. Moreover,there are more and more the oldest old, elderly patients with chronic diseases anddisability. China needs to safeguard the health of the olds by health management.Healthcare services should be focused on providing chronic disease preventionand treatment services, rehabilitation and care services for the disabled elderly. Theurban elderly has large demand in chronic disease treatment services. The level ofmedical, transportation convenience and economic levels are the main factors to affectthe health service needs of the urban elderly. The urban elderly do not want to go tothe hospital when they are ill mainly due to the economic burden. As vulnerablegroups of society, the aged need to be concerned about not only physical healthproblems, but also mental health and social function. Healthcare management servicesare likely to be accepted by the elderly population.Health management in China has not yet been formed into a theoretical system.Research of the urban elderly health management is the hot spot. Domestic scholarsresearch health management model based on different diseases. These studies wererelated to personalized demands, but at micro-level.